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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT N? o , 100 Ofce of INSPECTOR OF BUELDINGS � a Owner -y, �.t a `�- { : �'r_,� j� <r Architect Fridley, Minn., Builder LOCATION -0F BUILDING f• Y.; yX .l ,. gyp. No. t. !I street ` t ' � -�:,= ;� �'b '. Part of Lot Lot Block Addition or Sub -Division DESCRIPTION OF BUn DING Front De th Height—/ Stories 0 Manner of Construction To be used as r� '�� ` �` To be completed• s` a,' vJ Estimated Cost a' i Permit is hereby granted to to the buildinLy described in the above statement. This permit is granted upon the express c a6 to whom it is granted, and his agents, employees and workmen, in ail the work done in, around and upon sai building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,-- tnspector of Buildings. AGREEME_N'i' AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. J , el Subscribed and sworn to before me at Fridley, Minnesota, is day o .D. 19 Village of Fridley, Munn. BUHMING PFif1[T 1�T l�► ® 3 0 3 Office of INSPECTOR Or BUILDINGS Owner Irk, Architect Fridley, Minn., Builder 11 d•;, LOCATION OF BUILDING No. V2 �" " StreetPart of Lot Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth Height Stories Manner of Construction Permit is hereby granted the building cribed in the above statement. This perp upon the espres Ss ndition than; the person b w m it is ! anted, and his . agents, employees and wo the work done in, around and upon said buil' g, or any part thereof, shall conform in all respect, nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving within the city limits, and this permit may be revoked at any time upon violation of any of the pros ordinances. Inspector AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to , me by the Inspector of Buildings of the above permit, I hereby agree to do the proposed work in accordance with the above set forth and according to the provisions of the ordinances of Fridley, and, beir sworn, I hereby state and say that the facts stated by me and contained in the above true as therein stated. Subscribed and sworn to before me at Fridley, day oeA.D. 19. Minnesota, this ,4. Appladft for Pourer duets and IHouthg. Cooling. VeMationR RelripnMan and Air Conditioning Sydow and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60.000 BTU ....................... 3.00 $_ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations--cp to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Eines—to 400 sq. ft. FSR Steam .... . $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 14:00 $ Each add. 200 sq. ft. MR Steam ...................... &00' $ Each add. 320 sq. ft. MR. Hot Water ... . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... . ' ... .. , .. 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ......................... 600 $ _ over 199,000 BTU See Fee Schedule GAS FITTING FEES:. NO RATE TOTAL 1st 3 Fixtures ..... x$ 200 $ Additional Fixtures ................. x .75 $ Gas Range to 199.000 ........... za `SAO $ AIR. CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 7 2 - � %- 17 See'Fee Schedule TOTAL FEE $ d` Dept. of Bldga. Phone 860-3480 City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinancef and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Fridley, Mn Kind of Buildings r Used as &\ To be completed about Estimated est, $ —1,T, �— Old New. Building Permit No. Permit No. 40�7�YS DESCRIPTION OF WORK BEATING or POW39R PLANTS --,Steam, Hot Water. Warm Air—No Trade Nam Size No l® Capacity Sq. Ft. F:.DR BTU H.P. Total Connected Load—��d� - Kind of Fuel BURNER — Trade Name Size No - Capacity Sq..Ft. ILDR- BTU H.P. (M"Rus-OVER) r NA" City of Fridley Applica&n for Phm&bmg sad Cay FiMWq Famb Dept. of Bldgs. Phone 560-3430 DESCRIPTION OF WORK d O Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................. x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater 'Up to 99,000 BTU) . • . • x $3.00 $ 3 New Ground Run Old Bldg........ . Elaotric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures .............. • . Additional Fixtures ................. . Gas Range to 199.000 BTU ... — ....... REPAIRS & ALTERATIONS—Reiss to Code _ x $3.26 $ $zoo $ NO. RATE TOTAL — a $2.00 ; �- x $ 36 $ x $6.00 ; Description.............................................t _ TOTAL FEE ; �® City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 7— 192:0 Owner L Kind of Used as /L--.-, 1-1414—r To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. Signed By�V:`' Business Phune No 5�L3 -7 "' 9 ROUGH SF i� Y CO V.3 < (fin (7! • / • N WATER W". GAS ELEC. Base X 1st 2nd 3rd 4th • T% Connection Openings + Now Fixture, Old Openings conaadad with Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .................. x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater 'Up to 99,000 BTU) . • . • x $3.00 $ 3 New Ground Run Old Bldg........ . Elaotric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures .............. • . Additional Fixtures ................. . Gas Range to 199.000 BTU ... — ....... REPAIRS & ALTERATIONS—Reiss to Code _ x $3.26 $ $zoo $ NO. RATE TOTAL — a $2.00 ; �- x $ 36 $ x $6.00 ; Description.............................................t _ TOTAL FEE ; �® City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 7— 192:0 Owner L Kind of Used as /L--.-, 1-1414—r To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. Signed By�V:`' Business Phune No 5�L3 -7 "' 9 ROUGH N° 5155 Original Permit for PL SING AND GAS FI G �� N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ k DESCBMTION OF WORK II Number. Hind and Location of Fixtures Stories F Z e Z y S z Z 15 ; it 0 O Z U 2 �' m WO WATER HTR. < J 6 Z Q>Q 4 C O I OJ a Q Q Q O U m x .1 6 d 6 Q 3 U 7 m F m tl) 3 f O LL LL O U dl E 6A8 ELEC. a LL' Basement 1st 2nd 3rd 4th Connecter with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attach4 d upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date - Inspector. 42 1M -6.69-v city of Fridley L ,190 Owner Location Kind of Building saw Used as To be Completed 9—,-60 , 19—�2D Estimated Cost Old -New. Building Permit No. Date Inspector of Buildings. PERMIT for Power P ants and Heating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Pleating Plants —H cto be 'nstal —altered—repaired Make Oil fired__; Coal fired ; Gas fired_ ��Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector Permit N° 4756 Fee $ LT. 0 0 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19-2-b Owner Location 1 ® Q Kind of Buildin-g How Occupied Q Work to be Commenced—, 19— To be Completed___a�Q,19 Estimated Cost, $%5� Old -New, Building Permit No. Permission is hereby granted to to install--erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings a2 2M11 -67V City of Fridley 53-84-s915.51 Application for Plumbing and Gas Rtting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 664o Lmcia Lane Number, Kind and Location of Fixtures m $ cc $ x $1.50 $ x $3.25 Y �gT�j Z O aa N a U 6 U' •� W C�9 Sn Z �O • F • N WATER HTR. GAS EIEC Base 6.00 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer E] Cesspool p PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... ................... Additional Fixtures ................... Gas Range to 199,000 BTU ............... install (2) gas liters REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ X $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL 2 x $2.00 $ 2.00 x$.75 $ x $5.00 $ 6.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- Ju1Y 151, 1970 , 19_ Owner Richard Huisinza Kind of Building frame Used as residence To be completed aboutJU1Y 20. 1970 Estimated Cost, $_ 0 ,� Older New. Building Pe • Signe By MINNEAPOLIS GAS CL Business Phone No ROUGH �/ FINAL '� j b r/ / 1 Description ................................................$ TOTAL FEE $ 8•00 az SUBJECT PER City of Fridley r 12563 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 /---1 CITY HALL FRIDLEY 55432 IL NUMBER REV. DATE PAGE OF APPROVED BY ---- it." t ,'J 812-580-3450 910-F15 5/29/74 JOB ADDRESS 6640 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6B Aud. Sub. #21 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dorothy DuShav 6640 Lucia Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION I$ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Caulk butt ends of siding SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Alum. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,300.00 .65 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9.00 STRUCTION OR TH PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.65 SIGNATU EOFCONTRACTORORAUTHORIZEDA NT 1 TE) WHEN PROPERLX44,464QATED TIVS IS YOUR PERMIT BLDG. )NSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, AI;TERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: NO:-.- l WO . STREET • Ukti Cly L=C�0 LOT: 616 . BLOCK: ADDITION:.. #.2t CORNER. LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �cQk..,Front : Depth: Height: Square Feet: Cubic Feet: .Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stzi.ct accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) q'00 4 CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. & Mrs. Steven Hank 6630 Lucia Lane Fridley, M 55432 Dear Mr. & Mrs. 'riank: July 19, 1977 Subject: Driveway Damage at 6640 Lucia Lane TELEPHONE ( 812)571.3450 On Thursday, July 7, 1977, a concrete driveway was poured at the above referenced address as part of our street construction project. f rs you are aware, when the crew finished pouring the driveway and left for the day at 4:30 p.m., one of your children rode their tricycle across the driveway prior to its setting up and obtaining the strength necessary for any type of travel across it. On July 8, 1977, our crews tried to repair the damage done to the drive- way. At this point, we are hoping that the repair will be successful, therefore, this letter is to inform you that if our attempt to repair the driveway is not successful, removal and replacement will be required. If this becomes necessary, please be advised that the City will be obli- gated to try to recover the costs due to the damage caused by your child. We suggest that you check to see if this type of damage might be covered under your homeowners insurance policy. Ile will be contacting you in the future, updating you on the status of any work that might be required. If you have any questions regarding the information, please contact me. TAC/grs i Sincerely, CITY OF FRIDLEY homers A. Colbert, P-.%. Assistant City Engineer 1 SUBJECT City of Fridley 17260 AT THE TOP OF THE TWINS BUILDING P E R M I T _ ' ' T • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ( ®� CITY HALL FRIDLEY 55432 NUMBER TREv DATE PAGE OF APPROVED BY 612-571-3450 910-F159/23/83 JOB ADDRESS 6640 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6B Auditor's Subdivision #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daryl Lundin 6640 Lucia Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hargo Construction Co. 3248 - 90th Avenue N.E. 784-4679 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Lk ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace roof on garage and breezeway and wall in breezeway. 9 CHANGE QF USE FROM TO STIPULATIONS To be constructed as per the Building Code as discussed with Darrel Clark. ,-),EPERATE PERMITb REQUiREU FOR WjRj,�j, HEATING, PLUMBING AND SIGNS., TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 RUCTION OR THE PERFORMANCE qF CONSTRUCTION. PLAN CHECK FEE TOT4AL FF_EO SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT el 9 SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG IN P GATE 1 CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL DUILDII;G PERMITS (Rert, Alterations, Additions, or Repairs) Effective Aug. 1, 1981 OWNER: � BUILDER: Ar y IN ADDRESS:ADDRESS:�,� /VC TEL H0: TEL 110:���T Construction location STRECT NO: STREET: LOT: _ �� BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certifi-sates to scale. DESCRIPTION OF CONISTRUCTION Front: Depth: Height: Square feet: Cubic Feet: Front: Depth: Square Fent: cubic Feet: Height: Type of Construction: 4alar'e- Estimated Cost: To Be Cbr-pleted: �Alt. 'A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVFRR;L' SIDE OF SMEET 2be undersigned hereby makes applicAticn for a permit fcr the :.,ork herein specified, agreeing to co.all work in strict accordance with the City of Fridley Ordinances and rulings of the Departmait. of Buildings, and hereby declares that all the facts and represmUttiens stated in this application are true and correct. DT.TS: SIGNATUM : Stipulations: STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 Date Zoni Authority X431 Street Address �--- City1--l-State tZip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: G._. Name of Day C re Home App cant Street Address S 43;�, Cit State Zip Code DHS -2722 (9-85) PZ -027222-02 � V Type of License: Family Day Care Group Family Day Care Licensed Capacity / o Phone No. S -7 1 -- t0"2, This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within 30 days after receipt of this letter, we will consider the above-mentioned day care home to be in compliance with your local zoning code. Sincerely, lf UJ /1 Licensing Wor er COMMUNITY HEALTH & SOCIA16 SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE. FOURTH FLOOR ANOKA, M1NNFgn;:-55a163 Name of Agency/Organization Street Address City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 Date 'Zoniq Authority H treet Address City 0 9tbLte Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: P_0_� Name of Day Care Home A plicant Street Address rvi 0 . S S 3 City State Zip Code DHS -2722 (9-85) PZ-02722_02�-J % Type of License: Family Day Care %C Group Family Day Care Licensed Capacity Phone No. J 9 ( --' .-I This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use of purposes of zoning. Subdivision 4 of the same section licensed day care facility serving from 13 through 16 considered a permitted multi -family residential use purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, K ",�- � Licensing W rker Street Address 245.812, Subvision persons shall be property for the indicates that a persons shall be of property for 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL. SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE. FOURTH FLOOR ANOKA. MINNESOTA 88809 Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER PUBLIC WORKS MAINTENANCE DATE naromhor I?- 1 qRR MEMORANDUM /'�C FROM Ral h Volkman Superintendent TO ACTION INFO SUBJECT City Lot for Dump Site John Flora Director/?* �L x Between 6640 and 6670 Lucia Lane, the City owns a lot that is a low area. We are going to use this lot for a fill site for such materials as street sweep- ings, dirt and blacktop from water breaks. We have been clearing out some small trees and brush from the area to make it more accessible for our equipment. 0 suedEcr P IT NO. City of Fridley 27220 AT THE TOP OF THE TWINS BUILDING PERMIT � R T NO. `y COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Iq 6�9 r -3 C/Y NUMBER REV DATE PAGE OF APPROVED BY I".j CITY HALL FRIDLEY 55432 IL A, --_• 612-571-3450 910-F15 18/17/98 JOB ADDRESSycia k 6640 Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6B I Sub. 21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandra Hard 571-6307 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofiniz & Remodeliniz LLC 7930 Univ.Ave.NE Fridley 795-9410 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION fc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (17 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1417 @ $.71 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ATE OR LOCAL LAW REGULATING CON- PR�zf=le,'C4 STE OF CONSTRUCTION 48.50 Fire .SC $1.42 PLAN CHECK FEE TOTAL FEE fff License 5.00 $55LA3 &NATURE OF CON'RACTO OR AUTHORIZED AGENT IOATEI EN OPELIDAT D IS IS; Y2QR aMIT BLD INsP h E S,GNATURE OF OWNER OF OWNER BUILDERi IDATEI Effective 1/1/98 �t rCITY ; OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,,BUILDING PERMIT APPLICATION "r tructionAddress: �� l L' h ` CA de, L h .Ji::r e .:! i Description. Name & Address: Tel. 4 J .110 r: Lou rAU&M2j 1��;0� � .� f ' LC G MN LICENSE # Hr cig, hl✓e:� /(l�_Fr� c�.!- Tel. # 79J�-' `��/�. LS Attacli`'to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale.{ ' DESCRIPTION OF IMPROVEMENT ARfi A: Length Width Height Sq. Ft. w E AREAS -" Length $ `1 `> Width Height Sq. Ft. I) CIC AREA: Le Width Hgt/Ground Sq. Ft. :'f-I'S12: Vb7 1AA IN 1.044 tion Type: Estimated Cost: $ (Fee Schedule on Back).. :y Curb Cut Width Needed•' Ft. + 6 Ft = Ft x $ D:: i'E1*' : -- / L 91 ' APPLICANT:Tel. # W .., "..CITY USE ONLY KC k i" _..:�:. Fee $k'� ,rFee Schedule on Reverse Side` L �' :rcharge $°.00l�of Permit Valuation (1/10th%) Surcharge $ � r$.507$f,000 Valuation ;. w SAC Charge SAC Unit ry, Umse Surcharge $5.00: (State Licensed Residential Contractors) ,-• ' '"r»ri.,d xZ'4t'9�1 ,� IP•fl - 11 tl �::veway Escrow $ Alt, A. or? B Above r erosion Control $4 ,$450.00 Conservation Plan Review _ t $ Fee Determined by Engineering ti :;�'„r_r Main Charge '$ _.:'Agreement Necessary [ ]. Not Necessary TOTAL F� p• rrt� ' v "i' x r,;; e r R �.?fdr 7rC`"`t""`n F ry,\ TO1AL ua» A: , 3 ✓ '• n-m -,: �i STIPULATIONS �' }>r �x�K L :�._ .t ZW y � F • } 4N'��p�r t .. e� .NTY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT _ ®®®�" MAKK NUMBLK UF FIA I UKES TO BE INSTALLED ON EACH FLOOR $10.00 )Id Opening, New Fixture = Urinal ... `.... o er �..... Wash t#:::::: Tray �ii�{< = Floor D raln :>:::::: Auto. 'r:...... � Washer :::::;;:::;:: �:;:�� `��:���� Gas Range :I� :;::: Water Heater Stone S I"�I��<: Gas Elec Basemen t >> "Vater Heater - Gas** $35.00 las Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type Floor Floor 2 FI >> I F o0 r3 Floor 4 'LUMBING FIXTURE RATES: NO. RATE TOTAL Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 leer Dispenser $10.00 llow Off Basin $10.00 ;atch Basin $10.00 Iain Water Leader $10.00 'ump/Receiving Tank $10.00 Vater Treating Appliance 9 $35.00 Vater Heater -Electric $35.00 "Vater Heater - Gas** $35.00 las Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 teinspection Fee $50.00/Hr ILL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS_ 6&&-Ae • aS &W IIVIAr The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the fads and representations stated in this aaDlication are true and correct. 6640 LUCIA LANE NORTHEAST i U 20 FRIDLEY, MN 55432 OWNER _ (763) 571-1793 BUILDING USED AS SI edtG� ESTIMATED COST W 1, 00 PERMIT NO. PLUMBING SIGNED BY Approved By lOVA TEL NO. NIZ 827-cl033 Rough -In Date Final Date v. v iv v■ vv $ S OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE 'OOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No( ) The undersigned also verifies that the replacement unit is a Iisted assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: _ f Date: CITY OF FRIDLEY INSPECTION 6431 U!iiversity Ave NE Fridley, MN 55432 572.3604 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 Jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS 6&V6 6 L,VC(A LAJ ,U, OWNER DA/•!I2 d&Ris rA-tJ5bJ TOTAL BUILDING USED AS<tic $ iI_ _00 ESTIMATED COST — PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air $ Trade Name RUL) i:) Size No. (JG RAol) BTU Q57oco0 HP EDR $ •� Fuel 4V47—a A::5 Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the -City Codes an $ .50 . rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ SUPENOR CONTRACTO 812142NDAVENUEMA �� HEATING (- CRYSTAL, MN 55= �,,�) Signe q TEL # Approved By Rough -In Date Final Date 1 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Rs,)D BTU Input Fan Assisted or Nat 9004seg-e, Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) A&)ceR fi::tJ RA)A-e— `t— 4� AVENUE NO. HEATING C ICTAL, MN 53422 Signed By: Date: